While working on her Master’s degree Carlette Edwards was
diagnosed with breast cancer. At this time she only had 5 classes to go and a
red headed two year old son Christian. In
bed one night her husband accidentally brushed against her left breast and she
felt pain. Since she had heard there is no pain with cancer she thought it was
an aggravated hair follicle. Unfortunately it was actually a pea size lump. 5
months later she was diagnosed with stage 3 breast cancer. 1st round of treatment was a mastectomy and 2
months of chemo therapy and radiation. Taking Andromyacin and Cytoxin were the
hardest because it made her so ill. Zofran helped her feel better but there was
a $75 co pay for one pill. When she
didn't have money to pay for the last pill, she was very sick for several days
and it was the only medication on the market that helped her. Luckily her
doctor found a sample he could give her.
Last thing was to finalize the capstone project. Dr
Timothy Goedde was a co-creator of a machine that could do a biopsy so good you
could walk out with a band aid afterwards, so he made her feel safe. Since she
had very large breast, she wore a 5 pound prosthesis on her left side. After 7
years they did a tram flap reconstruction, where they removed fat from her
abdomen and used it to create a breast for the left side where she had the
mastectomy. Then they did a breast reduction on the right to reduce the size to
match. This was literally a weight lifted for Carlette. The Medical Group
Community Health Network in Indianapolis awarded her a $500 gift card, other gift
cards, a nail treatment and a photo opportunity.
She never told the professor at her school what she was
going through because she didn't want special treatment. She finished and graduated
with a 3.5 GPA and Masters Degree in Business Administration. She finished her
treatments with Taxil and Herceptin which had reduced side effects.
Interestingly she graduated the very next day after treatment ended. The
doctors told her she had to wait 5 years before having a baby, so in 2013 she
had her IUD removed and got pregnant in 3 days with her 2nd child Evan.
When I met Carlette in 2017 she was having her third baby
a pretty little girl. After she had the baby she was very fatigued and the baby
was crying a lot so the Newborn Nursery decided to give the baby some formula.
Once she got to the Mother and Baby floor and into her room Carlette began
breastfeeding. Since the right breast was really only fatty tissue and did not
have a nipple or an areola, we could only use the right breast and remember the
right breast had a reduction.
Colostrum was visible, in small amounts of clear liquid
on the first try. Horaay! mom I said you do have milk, now we have to build the
supply. So we used a lot of stimulation through warm compress, hourly massage,
latching on demand and pumping. Latch was difficult since the right breast had
nipple reconstruction. Even though the nipple appeared everted, it was actually
retractable. Therefore the areola complex seemed to collapse when the baby
tried to latch, this also proved to be a problem for hand expression. We used a
20 mm Nipple Shield to facilitate latch which did also allow us to visibly
check for milk transfer. After a few
minutes of suckling mom was able to remove the shield and the baby could latched
Once the edema or swelling of fluid overload kicked in on
day two, things got touchy. Mom could
get out 2 ½ ml of yellow thick sticky colostrum with the pump which we fed by
syringe after breastfeeding. The baby lost 9.3% of birth weight. 7 % weight
loss is normal during the hospital stay. 10% is a medical indication to
supplement. Also the blood sugar level wasn’t low but it wasn’t high. Therefore
we had to offer formula supplement after feedings and the doctor insisted it
was given by artificial nipple.
By day 4 the volume of milk was increasing and it turned
white or into what we call mature milk. Now the scary part was over. Mom left
the hospital mostly breastfeeding. I gave her a referral for a pump from her
insurance company and suggested she breastfeed on demand, pump to empty
afterwards. I also suggested she drink mother’s milk tea.
It is strong determined women like Carlette Edwards who
stand in the face of adversity and are unmoved. Most people would have thought
breastfeeding was not possible, and would have just opted for Formula from the
start. But Carlette is a fighter. She did not let cancer stop her from being a
career woman, a breastfeeding mother and a powerful example that you can do
anything you put your mind and your heart to. Don’t look at obstacles but at
the goal in front of you, Remembering, when you’re determined enough nothing
can stop you.